Provider Demographics
NPI:1245985308
Name:OKYN, BRENDA A (LMHC)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:A
Last Name:OKYN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 W HILLSBORO BLVD STE B1
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4355
Mailing Address - Country:US
Mailing Address - Phone:954-614-6420
Mailing Address - Fax:954-977-4978
Practice Address - Street 1:10974 NW 12TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-614-6420
Practice Address - Fax:954-977-4978
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional